Organization Now Saves More Than $18MM per Year The Oklahoma Health Care Authority (OHCA) is a state agency that administers the state Medicaid and Children’s Health Insurance Program (CHIP). OHCA is the primary state agency charged with controlling the costs of state-purchased health care. As such, their mission is to purchase state and federally funded health […]
The Michigan Department of Corrections (DOC) is comprised of 22 correctional facilities with a statewide prison population exceeding 40,000 offenders. For each felon housed within the Michigan DOC, the sentence handed down by the justice system is one of several factors that determine the length of time he or she will spend behind bars. An […]
Surgical Implant Provider Cuts Costs, Increases Business Volume with InRule® Organization Deploys InRule and Microsoft Dynamics CRM to Grow Business A healthcare company in the United States connects doctors, hospitals, and surgery centers with the manufacturers of implantable medical devices, such as orthopedic and spinal implants, and the insurance companies that provide payments for the […]
The State of Arizona’s Department of Education serves Arizona’s education community and ensures every child has access to an excellent education. The department oversees the K-12 public education system, supports 15 county-level education agencies, more than 200 public school districts, over 400 charter holders, 13 Joint Technological Education Districts, and approximately 90,000 certified teachers. The […]
A Midwestern’s state municipal retirement fund provides local government and school district employees with a system for the payment of retirement, disability, and death benefits. In 2017, the retirement fund served more than 3,000 employers and has approximately $33 billion in assets. THE CHALLENGE In early 2015, the state’s retirement fund management systems were more […]
Established in 1841, Wesleyan Assurance Society is a UK-based organization that offers personal and commercial insurance and financial services to its members. It has a segmented approach, delivering tailored financial advice and products to medical professionals, teachers and lawyers THE CHALLENGE Wesleyan’s legacy financial planning system had a number of manual processes and presented myriad […]
A US-based healthcare management company provides coordination of healthcare benefit services, including insurance validation, improper payment identification, revenue recovery, claims processing, waste reduction and fraud. In addition to standard healthcare plans, the company supports processing for state and federal government agencies. THE CHALLENGE Decision makers sought to improve onboarding time of clients, accelerate improvements and […]
A U.S.-based healthcare company provides integrated pharmacy benefit management services to health plans, self-insured employers, and government agencies. The company’s services include network pharmacy claims processing, home delivery pharmacy services, drug-utilization review, formulary management, and medical and drug data analysis services. THE CHALLENGE The healthcare company relied on a homegrown application integrated with Microsoft Dynamics® […]
Allscripts Healthcare Solutions, Inc. provides practice management and electronic health record (EHR) technology to physician practices, hospitals, and other healthcare providers. Allscripts also provides solutions for patient engagement and care coordination, as well as financial and analytics technology. With more than 180,000 physician users, 2,700 hospitals and 13,000 extended care organizations, Allscripts is a leading medical […]
PricewaterhouseCoopers (PwC) is a multinational professional services firm. It is considered one of the “Big Four” accounting firms (the four largest firms in the world that provide audit and transaction advisory services). With revenues over $42 billion, PwC has roughly 276,000 employees across 742 locations in 157 countries. In the Middle East, PwC has had […]